OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC (NPI# 1962808378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962808378 |
| Entity Type | Organization |
| Organization Name | OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
| Practice Address |
3507 Canfield Rd Suite 7 Youngstown OH 44511-2859 |
| Mailing Address |
8175 Market St Youngstown OH 44512-6244 |
| Practice Telephone | 3307930566 |
| Practice Fax Number | 3307935767 |
| Mailing Telephone | 3306298800 |
| Mailing Fax Number | 3307584914 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | LAWRENCE DIDOMENICO (MANAGING PARTNER) |
| Authorized Official Telephone | 3306298800 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043617020 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 5925 N. Main St., Suite D, Dayton, OH 45415-3142 | 2014-11-19 |
| 1497152474 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2207 Olympic Ave., Springfield, OH 45503-2725 | 2014-11-19 |
| 1093111080 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1911 N. Fairfiled Rd, Suite 210, Beavercreek, OH 45432-2754 | 2014-11-18 |
| 1003204967 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 7529 State Rd, Suite B, Cincinnati, OH 45255-6409 | 2014-12-30 |
| 1265830566 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1275 Olentangy River Rd, Suite 120, Columbus, OH 43212-3119 | 2014-12-18 |
| 1508264680 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 5757 Monclova Rd, Suite 5, Maumee, OH 43537-1863 | 2014-12-05 |
| 1134526395 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 26151 Euclid Ave, Euclid, OH 44132-3322 | 2014-12-03 |
| 1699172908 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3 Greenville Orthopedic Ctr, Greenville, PA 16125-1210 | 2014-12-02 |
| 1295132793 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3731 Pearl Rd, Cleveland, OH 44109-2750 | 2014-11-26 |
| 1710384516 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 4041 N High St, Ste. 101, Columbus, OH 43214-3247 | 2014-11-24 |
| Street Address |
3507 CANFIELD RD SUITE 7 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44511-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154591675 | Angelo F. Petrolla Dpm | Podiatrist | 3507 Canfield Rd, Suite 7, Youngstown, OH 44511-2859 | 2008-03-12 |
| 1205266186 | Ankle and Foot Care Centers | Podiatrist | 3507 Canfield Rd, Suite 7, Youngstown, OH 44511-2859 | 2013-11-14 |
| 1124299466 | Heather A. Petrolla | Podiatrist | 3507 Canfield Rd, Suite 7, Youngstown, OH 44511-2859 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365755 | Khaled Omar | Student in an Organized Health Care Education/Training Program | Shaheed Tayar St, Zagazig, AL SHARKEYA 44511 | 2020-04-25 |
| 1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
| 1437671856 | Tyisha J Williams | Home Health | 2704 Volney Rd, Youngstown, OH 44511 | 2017-07-07 |
| 1831584234 | Tamara Ann Ramsey | Home Health Aide | 3634 Cascade Dr., Youngstown, OH 44511 | 2015-04-02 |
| 1679919153 | Amy Sue Lutz | Licensed Practical Nurse | 3970 Chaucer Ln, Youngstown, OH 44511 | 2013-05-10 |
| 1366622342 | Professional Rehab Services Inc | Physical Therapist | 4199 Kirk Rd, Youngstown, OH 44511 | 2007-11-07 |
| 1407077357 | Tamy D Mcbride | Home Health Aide | 3631 Dover Rd, Youngstown, OH 44511 | 2007-05-01 |
| 1619058229 | Joseph Michael Malys | Dentist | 3415 Canfield Rd, Youngstown, OH 44511 | 2006-10-18 |
| 1689695306 | Jennifer Lynn Flo | Podiatrist | 3507 Canfield Rd Ste 7, Youngstown, OH 44511 | 2006-07-21 |
| 1255396040 | James R Hovell | Dentist | 361 W Indianola, Youngstown, OH 44511 | 2006-04-18 |
| Find all providers in zip 44511 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206875 | David D Dull | Podiatrist | 4442 Logan Way, Youngstown, OH 44505-1739 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023361318 | Lara S Poduska Dpm LLC | Podiatrist | 24816 Aurora Rd Ste A, Bedford Heights, OH 44146-6908 | 2012-10-24 |
| 1598037467 | David L. Beatty Dpm PC | Podiatrist | 125 N Water St, Paulding, OH 45879-1245 | 2012-02-07 |
| 1750677829 | Elizabeth Gero | Podiatrist | 10701 East Blvd # 112bw, Cleveland, OH 44106-1702 | 2011-06-27 |
| 1841433703 | Home Visit Podiatrists, Inc. | Podiatrist | 2010 Wayland Ave, Cincinnati, OH 45212-3708 | 2009-04-08 |
| 1023250248 | Podiatry Home Health Care | Podiatrist | 5683 Pearl Rd, Parma, OH 44129-2528 | 2009-04-02 |
| 1982850525 | Richard A Raabe Dpm Inc | Podiatrist | 128 Wertz Ave Nw Ste A, Canton, OH 44708 | 2008-08-14 |
| 1225214125 | Louis L. Endress Dpm | Podiatrist | 2914 Cleveland Rd, Wooster, OH 44691-1655 | 2008-01-10 |
| 1457533622 | James D. Robinette, Dpm, Inc. | Podiatrist | 5932 Colerain Ave, Cincinnati, OH 45239-6414 | 2007-11-29 |
| 1336352038 | Laser Foot Care Center, Inc | Podiatrist | 2495 Olentangy Dr, Akron, OH 44333-2831 | 2007-05-08 |
| 1932237922 | Thomas Joseph Javorsky | Podiatrist | 1400 S Hubbard Rd, Lowellville, OH 44436-9411 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44511 |
Please comment or provide details below to improve the information on OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.